Organization Active NPI

Avada of Morehead City

  • Hearing Instrument Specialist
  • Morehead City, NC
National Provider Identifier
1306080601
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1269 Issued in NC
Legal business name
AVADA OF MOREHEAD CITY
Practice address
312 Commerce Ave Ste B
Morehead City, NC 28557-3227
Phone
(252) 222-0203
Fax
(252) 222-0203
NPI assigned
Apr 30, 2009
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rodney Holdren
Title
Hearing Aid Specialist
Phone
(252) 222-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1269 NC Primary

Addresses

Primary practice location

312 Commerce Ave Ste B
Morehead City, NC 28557-3227

Mailing address

312 Commerce Ave Ste B
Morehead City, NC 28557-3227
Phone (252) 222-0203

National Provider Directory

National Provider Directory
Tax ID family
Avada Audiology Hearing Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 Commerce Ave
Ste B
Morehead City, NC 28557
Phone (252) 222-0203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1306080601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COMMERCE AVE STE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573227",
            "telephone_number": "252-222-0203",
            "fax_number": "252-222-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COMMERCE AVE STE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573227",
            "telephone_number": "252-222-0203",
            "fax_number": "252-222-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVADA OF MOREHEAD CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "HOLDREN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "HEARING AID SPECIALIST",
        "authorized_official_telephone_number": "252-222-0203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.